CP treatments

A systematic review of interventions for children with cerebral palsy: the state of the evidence
Iona Novak
 
To help parents make informed decisions about effective interventions for children with cerebral palsy, this paper summarises all the high-quality research using a simple traffic light. 
  • Green means effective – go.
  • Yellow means uncertain – track individual results.
  • Red means ineffective - stop. 
Sixty-four interventions exist. Green interventions include:
  • anticonvulsants to manage seizures
  • bimanual training or constraint-induced movement therapy to improve hemiplegic hand use
  • botulinum toxin, diazepam and selective dorsal rhizotomy to reduce muscle spasticity
  • bisphosphonates to increase bone density
  • casting to lengthen short muscles
  • goal-directed training, home programs, occupational therapy after botulinum toxin and context-focused therapy to improve independence
  • fitness training
  • hip surveillance to prevent hip dislocation
  • pressure care to prevent ulcers 
More research is needed about early intervention and on interventions to improve communication, social skills and family coping. Plus validation of the benefits of equipment and technology is recommended to ensure sustained funding. 
Mac Keith Press publishes two series of books: the Clinics in Developmental Medicine and the International Reviews of Child Neurology Series for the International Child Neurology Association.